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Simmons NURP 501 Exam 1 > Week 2 Practice Questions from the Book > Flashcards

Week 2 Practice Questions from the Book Flashcards

1
Q 
Vaginal secretions are generally minimal:
A. 1-10 days after birth.
B. Following menopause.
C. During pregnancy.
D. Around day 9 of the menstrual cycle.
A

B. Following menopause.

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2
Q

T/F Leukorrhea is usually an indication of a vaginal infection.

A

False

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3
Q 
\_\_\_\_\_ is frequently seen among women experiencing decreased estrogen production.
A. Atrophic vaginitis
B. Desquamative inflammatory vaginitis
C. Vulvovaginal candidiasis
D. Bacterial vaginosis
A

A. Atrophic vaginitis

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4
Q

T/F A highly prevalent cause of vaginal discharge, bacterial vaginosis is the cause of up to 50% of vaginitis symptoms.

A

True

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5
Q 
The primary pathogenic agent in TSS is:
A. Candida tropicalis
B. Candida albicans
C. Streotococcal pyogenes
D. Staphylococcus aureus
A

D. Staphylococcus aureus

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6
Q

T/F The CDC has continuously conducted population-based active surveillance of TSS since its identification in 1978.

A

False. Since 1986 they have been doing active surveillance.

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7
Q 
Treatment is indicated if a cyst is:
A. Symptomatic
B. About to rupture
C. Present
C. Greater than 2 cm in size.
A

A. Symptomatic

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8
Q

T/F Most cases of Bartholin’s gland abscesses are caused by sexually transmitted organisms.

A

False

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9
Q

Women who have genital piercings should be advised against:
A. Getting more piercings
B. Using barrier methods of contraception
C. Pregnancy
D. Sexual activity

A

B. Using barrier methods of contraception

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10
Q

T/F The most common complications of genital piercing include allergic reactions and infections.

A

True

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11
Q

Which of the following is a drawback in using vaginal creams and suppositories to treat VVC?
A. They are costly
B. They can weaken latex condoms and diaphragms
C. They are messy and difficult to apply
D. They do not usually work the first time

A

B. They can weaken latex condoms and diaphragms

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12
Q

T/F Normal vaginal secretions have a pH range of 4.5 to 5.5.

A

False. 3.5-4.5

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13
Q

Many women with _____ have recurence within 3-6 months, and even with retreatment there have been no studies that recommend a regimen that can effectively treat recurrence.

A

bacterial vaginosis

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14
Q

Which of the following is the recommended treatment for symptomatic cyst or abscess?
A. No treatment is needed.
B. Course of medication.
C. Surgical removal of the mass.
D. Drainage of cyst contents to prevent fluid reaccumulation.

A

D. Drainage of cyst contents to prevent fluid reaccumulation.

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15
Q

Public health awareness and education about the safe use of tampons helped decrease the incidence rate of _____.

A

toxic shock syndrome

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16
Q

T/F Atrophic vaginitis affects women who are of reproductive age, perimenopausal, or postmenopausal that experience vulvovaginal itching and burning as well as urinary frequency and pain with trouble with dryness during intercourse.

A

True

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17
Q 
Which of the following alternative therapies would be appropriate for treating vulvovaginal symptoms?
A. Tea tree oil
B. White vinegar
C. Garlic clove
D. Vitamin C
A

A. Tea tree oil

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18
Q

T/F Due to increased incidences of infection and complications caused by genital piercing, regulations that had traditionally been controlled by state and local organizations have been taken over by national guidelines.

A

False

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19
Q

T/F Defense against infection in the vagina is provided by a combination of organisms that produce lactic acid that help maintain a pH balance.

A

True

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20
Q

Inflammation of the vagina that causes an increase in the amount of vaginal discharge that does not contain and increase in white blood cells is call _____.

A

vaginosis. Vaginitis has an increased number of WBCs.

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21
Q

Young women are more susceptive to infections such as gonorrhea and HIV because:
A. They more often engage in vaginal douching.
B. of thin vaginal and cervical mucosa due to declining estrogen levels.
C. They have larger exposed surface area of cells unprotected by cervical mucus.
D. of increased estrogen levels.

A

C. They have larger exposed surface area of cells unprotected by cervical mucus.

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22
Q

T/F Because the vagina is an environment more conducive to development of infections than the penis, men are more likely to transmit HIV to women than the reverse.

A

True

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23
Q 
Which of the following is not one of the 5 Ps developed by the CDC for screening for STIs?
A. Prevention of pregnancy
B. Pasty history of STIs
C. Practices
D. Potential for risk
A

D. Potential for risk

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24
Q

T/F Regular STI screening is only necessary for women who use drugs, work in the sex trade, or have concurrent partners.

A

False

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25
Q

If a woman who could be pregnant tests positive for an STI, a pregnancy test should also be conducted because:
A. It may be necessary to terminate the pregnancy.
B. Treatment can differ in pregnant and nonpregnant women.
C. Counseling will be necessary.
D. STIs may not be treated in pregnant women.

A

B. Treatment can differ in pregnant and nonpregnant women.

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26
Q

T/F When taking a woman’s history, information about sexual preference should be obtained because transmission of STIs differs between men and women.

A

False

27
Q 
Vaginal intercourse with a condome is a \_\_\_\_\_ sexual practice.
A. completely safe
B. high risk
C. low risk
C. possibly risky
A

C. possibly risky

28
Q

T/F A woman who has sex with a new partner should be checked for STIs even if she has no symptoms.

A

True

29
Q 
\_\_\_\_\_ is not a nationally notifiable STI.
A. HPV
B. Gonorrhea
C. Chlamydia
D. Syphilis
A

A. HPV

30
Q

T/F Though older women are often neglected in STI screening and assessment, declining estrogen levels in menopause cause changes that actually increase their risk of STI transmission.

A

True

31
Q

Ideally, the HPV vaccine should be administered:
A. during pregnancy
B. during menopause to protect against cervical cancer
C. directly after a woman’s first sexual experience
D. before a woman becomes sexually active

A

D. before a woman becomes sexually active

32
Q

T/F HPV is the second most common STI in the US.

A

False. It’s the #1.

33
Q

Pregnant women who have HSV:
A. must have a c-section.
B. may give birth vaginally if they do not have lesions at the time of birth.
C. may give birth vaginally with lesions as long as the newborn can be treated immediately after birth.
D. can give birth vaginally at any point without affecting the newborn.

A

B. may give birth vaginally if they do not have lesions at the time of birth.

34
Q

T/F Because HSV is not a reportable infection, its exact prevalence in the US is unknown.

A

True

35
Q 
Chancroid is more common in:
A. the Caribbean
B. Europe
C. the US
D. the Middle East
A

A. the Caribbean

36
Q

T/F Chancroid can be effectively treated with antibiotics and can take between 7 and 14 days to heal.

A

True

37
Q 
\_\_\_\_\_ should not be used to treat pregnant women with pubic lice as it has been shown to cause fetal harm.
A. Permethrin
B. Topical lindane
C. Ivermectin
D. Pyrethrins
A

B. Topical lindane

38
Q

T/F Though P. pubis is found in the genital area, it can also be found on other parts of the body that have hair.

A

True

39
Q 
The only antimicrobial medication that is effective against T. vaginalis is:
A. topical metronidazole
B. ivermectin
C. erythromycin
D. the nitroimidazoles
A

D. the nitroimidazoles

40
Q

T/F White women have a higher prevalence of T. vaginalis than black women.

A

False

41
Q 
A test of cure for chlamydia should be done:
A. if a woman is under 25 years old
B. if a woman is African American
C. on all women
D. if a woman is pregnant
A

D. if a woman is pregnant

42
Q

T/F All pregnant women under 25 years old should be screened for chlamydia.

A

True

43
Q 
The most common complication of gonorrhea is:
A. Bartholin's abscess
B. PID
C. Pelvic abscess
D. DGI
A

B. PID

44
Q

T/F Women often do not show symptoms of gonorrhea, and when they do, the symptoms are often not specific, making it difficult to detect.

A

False. When they do the symptoms are often less than in men. Though the book says this is false, it could really be regarded as true, since less specific makes it difficult to detect.

45
Q

The most specific criteria for diagnosing PID includes:
A. elevated erythrocyte sedimentation rate.
B. elevated C-reactive protein level.
C. endometrial biopsy with histopathologic evidence of endometritis.
D. cervical motion tenderness.

A

C. endometrial biopsy with histopathologic evidence of endometritis.
The others are used, but are not considered the most specific.

46
Q

T/F Though nonspecific, fever is a high indicator of PID, and if a woman presents with no fever, PID can generally be ruled out.

A

False

47
Q 
\_\_\_\_\_ syphilis is characterized by a widespread, maculopapular rash on the hands and feet and generalized lymphadenopathy.
A. Secondary
B. Primary
C. Tertiary
D. Latent
A

A. Secondary

48
Q

T/F Testing of cerebrospinal fluid should not be done routinely in patients with primary or secondary syphilis but may be recommended in cases where there are symptoms or signs of neurologic or ophthalmic disease.

A

True

49
Q 
HBV vaccination:
A. includes a booster vaccination.
B. is given in a series of 3 injections.
C. is not recommended if other vaccines are also being given.
D. has a wide range of side effects.
A

B. is given in a series of 3 injections.

50
Q

T/F Despite the widespread use of the HBV vaccination, incidence of HBV has not declined appreciably in the last 20 years.

A

False

51
Q 
The best prevention for HCV is:
A. diligent hygiene measures.
B. avoiding contact with infected blood.
C. prophylaxis with immune globulin.
D. vaccination.
A

B. avoiding contact with infected blood.

52
Q

T/F Among those who contract the single-stranded RNA virus that causes hepatitis C, about 3/4 will develop chronic HCV.

A

True

53
Q

For management of HIV, _____ is recommended.
A. primary use of NRTIs
B. ARTs along with supplements such as St. John’s wort
B. a concentration of protease inhibitors
C. combination ART therapy

A

C. combination ART therapy

54
Q

T/F Though HIV and AIDS have traditionally been known as a “men’s disease,” nearly half of all people diagnosed with HIV in the US are women.

A

False.

Twenty percent of the estimated 47,500 new cases of HIV in the United States in 2010 occurred in women.

55
Q 
Dr. White is a female patient that presents with abrupt onset of acute lower abdominal pain following menses and abnormal vaginal discharge. She complains that lately the pain has become severe, persistent and incapacitating with bouts of fever, nausea, and urinary frequency. Upon physical exam, the doctor finds abdominal tenderness and palpable adnexal swelling. Laboratory tests reveal a positive ESR. What is this patient's probable diagnosis?
A. Syphilis
B. Hep B
C. PID
D. HIV
A

C. PID

56
Q

Higher incidence rates of _____ are seen in specific populations, such as women who are incarcerated or women who visit STI clinics for evaluation and care.

A

trichomoniasis

57
Q

T/F Coupled treatments for gonorrhea and chlamydia address their high coinfection rates and help fight antimicrobial-resistant cells that cause gonorrhea.

A

True

58
Q

Individuals with the highest rate of _____ have the least access to health care and available health insurance coverage.

A

STIs

59
Q

Most clinical cases of HPV can now be treated with routine _____ which is recommended for girls age 11-12.

A

HPV vaccination

60
Q

T/F Clinicians are not required to report STIs such as chlamydia, gonorrhea, hepatitis, HIV, and syphilis to their public health officials.

A

False

61
Q 
Which of the following groups of women should be routinely screened for STIs?
A. Women who have begun mestruation.
B. Women who are sexually active.
C. Women who are pregnant.
D. Women who exhibit specific symptoms.
A

B. Women who are sexually active.

62
Q 
Which of the following groups of women should be routinely screened for STIs?
A. Women who have begun menstruation.
B. Women who are sexually active.
C. Women who are pregnant.
D. Women who exhibit specific symptoms.
A

B. Women who are sexually active.

63
Q 
Which of the following STIs is common in the US and is a recurring and chronic condition with no cure?
A. Genital herpes
B. Genital warts
C. HPV
D. Chancroid
A

A. Genital herpes

Simmons NURP 501 Exam 1 (63 decks)

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